<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html lang="en" xml:lang="en" xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset="iso-8859-1" />
<html>
<head>
<title>Sample form from WorxWare.com</title>
<style>
body, p, table, th, td, div {
  font-family: Arial, Helvetica, sans-serif;
  font-size: 12px;
}
th {
  background-color:#0080C0;
  color:white;
  font-weight:bold;
  font-size:18px;
  border: 1px solid #0080C0;
}
input.text, textarea {
  font-family: Arial, Helvetica, sans-serif;
  font-size: 11px;
  width: 99%;
}
.text:focus, textarea:focus {
  background-color: #FFFACC;
  border: 1px solid #000000;
}
#mydiv {
  margin-left: auto ;
  margin-right: auto ;
  width: 600px;
  text-align: left;
}
td.colone {
  text-align: right;
  vertical-align: top;
  padding-top:6px;
  width:30%;
}
td.coltwo {
  color:red;
  text-align: center;
  vertical-align: top;
  padding-top:9px;
}
td.colthree {
  width:70%
}
table.border {
  border: 1px solid #0080C0;
  border-collapse: collapse;
}
caption {
  text-align:center;
  font-size:18px;
  font-weight:bold;
}
</style>
</head>
<body>
<div id="mydiv">
<form method="POST" action="../_lib/phpmailer-fe.php" enctype="multipart/form-data">
<input type="hidden" value="samplejobenquiry.html" name="referer">
<input type="hidden" name="MAX_FILE_SIZE" value="1024000">
<table class="border" width="100%" cellpadding="3" cellspacing="0">
  <tr>
    <th colspan="3" align="center">WorxWare.com Sales Job Enquiry Form</th>
  </tr>
</table>
<br />
<table class="border" width="100%" cellpadding="2" cellspacing="0">
  <tr>
    <th colspan="3" align="center">PERSONAL INFORMATION</th>
  </tr>
  <tr>
    <td class="colone">Name:</td>
    <td class="coltwo">*</td>
    <td class="colthree"><input name="frmCandidateName" type="text" style="width:99%;"></td>
  </tr>
  <tr>
    <td class="colone">Address:</td>
    <td class="coltwo">*</td>
    <td class="colthree"><input name="frmAddress" type="text" style="width:99%;"></td>
  </tr>
  <tr>
    <td class="colone">City:</td>
    <td class="coltwo">*</td>
    <td class="colthree"><input name="frmCity" type="text" style="width:99%;"></td>
  </tr>
  <tr>
    <td class="colone">Email:</td>
    <td class="coltwo">*</td>
    <td class="colthree"><input name="email" type="text" style="width:99%;"></td>
  </tr>
  <tr>
    <td class="colone">Telephone:</td>
    <td class="coltwo">*</td>
    <td class="colthree"><input name="frmTelephone" type="text" style="width:99%;"></td>
  </tr>
  <tr>
    <td class="colone">Best time to call you:</td>
    <td class="coltwo">&nbsp;</td>
    <td class="colthree">
      <select name="frmBestTimeToReach">
      <option selected>Morning
      <option>Afternoon
      <option>Evening
      </select>
    </td>
  </tr>
  <tr>
    <td class="colone">Education (highest):</td>
    <td class="coltwo">&nbsp;</td>
    <td class="colthree">
      <select name="frmEducation">
      <option value="High School" selected>High School
      <option value="College">College
      <option value="University">University
      </select></td>
  </tr>
  <tr>
    <td class="colone">Institution Attended:</td>
    <td class="coltwo">*</td>
    <td class="colthree"><input name="frmNameInstitution" type="text" style="width:99%;"></td>
  </tr>
  <tr>
    <td class="colone">Diploma/Certificate/Degree:</td>
    <td class="coltwo">*</td>
    <td class="colthree"><input name="frmDiploma" type="text" style="width:99%;"></td>
  </tr>
  <tr>
    <td class="colone">Computer Literacy:</td>
    <td class="coltwo">&nbsp;</td>
    <td class="colthree">
      <table border="0" cellspacing="0" cellpadding="0" width="1">
        <tr>
          <td>Platform&nbsp;</td>
          <td>
            <select name="frmComputerPlatform">
            <option selected>None
            <option>IBM / PC
            <option>Mac
            </select>
          </td>
          <td width="25">&nbsp;&nbsp;&nbsp;&nbsp;</td>
          <td>Level&nbsp;</td>
          <td>
            <select name="frmCompetenceLevel">
            <option selected>Just Familiar
            <option>Daily User
            <option>Expert
            </select>
          </td>
        </tr>
      </table>
    </td>
  </tr>
</table><br />
<table width="100%" border="1" cellspacing="0" cellpadding="2" style="border-collapse:collapse;">
  <tr>
    <th colspan="3" align="center">EMPLOYMENT HISTORY</th>
  </tr>
  <tr>
    <td width="33%" align="center">Current or Most Recent Employer:</td>
    <td width="67%">
      <table border="0" cellspacing="0" cellpadding="2" width="100%">
        <tr>
          <td class="colone">Name</td>
          <td class="colthree"><input class="text" name="frmEmployer1" type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">Location</td>
          <td class="colthree"><input class="text" name="frmEmployer1_Loc." type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">How Long</td>
          <td class="colthree"><input class="text" name="frmEmployer1_Duration" type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">Duties</td>
          <td class="colthree"><input class="text" name="frmEmployer1_Duties" type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">Annual Earnings</td>
          <td class="colthree"><select name="frmEmployer1_Earnings">
            <option selected>Under $20,000
            <option>$20,000 to $30,000
            <option>$30,000 to $40,000
            <option>$40,000 to $50,000
            <option>$50,000 to $60,000
            <option>Over $60,000
            </select></td>
        </tr>
      </table>
    </td>
  </tr>
  <tr>
    <td align="center">Next Most Recent<br />Employer:</td>
    <td>
      <table border="0" cellspacing="0" cellpadding="2" width="100%">
        <tr>
          <td class="colone">Name</td>
          <td class="colthree"><input class="text" name="frmEmployer2" type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">Location</td>
          <td class="colthree"><input class="text" name="frmEmployer2_Loc." type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">How Long</td>
          <td class="colthree"><input class="text" name="frmEmployer2_Duration" type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">Duties</td>
          <td class="colthree"><input class="text" name="frmEmployer2_Duties" type="text" style="width:99%;"></td>
        </tr>
      </table>
    </td>
  </tr>
  <tr>
    <td align="center">Next Most Recent<br />Employer</td>
    <td>
      <table border="0" cellspacing="0" cellpadding="2" width="100%">
        <tr>
          <td class="colone">Name</td>
          <td class="colthree"><input class="text" name="frmEmployer3" type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">Location</td>
          <td class="colthree"><input class="text" name="frmEmployer3_Loc" type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">How Long</td>
          <td class="colthree"><input class="text" name="frmEmployer3_Duration" type="text" style="width:99%;"></td>
        </tr>
        <tr>
          <td class="colone">Duties</td>
          <td class="colthree"><input class="text" name="frmEmployer3_Duties" type="text" style="width:99%;"></td>
        </tr>
      </table>
    </td>
  </tr>
  <tr>
    <td align="center">Completed Any<br />Sales or Personal<br />Development Training?</td>
    <td>
      <table border="0" cellspacing="0" cellpadding="2" width="100%">
        <tr>
          <td colspan="2">
            <input type="checkbox" name="frmCourse_Yes" value="Yes"> Yes &nbsp;&nbsp;&nbsp;
            <input type="checkbox" name="frmCourse_No" value="No"> No</td>
        </tr>
        <tr>
          <td class="colone">Course:</td>
          <td class="colthree"><input class="text" name="frmSalesMotivationExtras" type="text" style="width:99%;"></td>
        </tr>
      </table>
  </tr>
  <tr>
    <td align="center">Other Information:</td>
    <td><textarea name="frmOtherInfo" style="width:98%;height:50px;"></textarea></td>
  </tr>
  <tr>
    <td colspan="2" align="center">
      Thank You for taking the time to fill in all the information.<br />
      To Submit your information for consideration, click the SUBMIT Button below.<br />
      <p><input type="submit" value="Submit"></p>
    </td>
  </tr>
</table>
</form>
